ALEX PHAM PA-C
NPI 1043813132
Physician Assistant in San Jose, CA

Q: What is Alex Pham's NPI number?

The NPI number for Alex Pham is 1043813132. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Q: What is Alex Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Alex Pham was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 19, 2020PECOS Enrolled

2690 S WHITE RD STE 50, SAN JOSE, CA 95148(408) 223-7000 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2021, Nov 25, 2020, Nov 20, 2020 (3 updates tracked since 2020).

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About Alex Pham Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEX PHAM PA-C (NPI 1043813132) is an individual physician assistant in San Jose, California, licensed in Oregon (PA202376) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1043813132

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameALEX PHAMCredential: PA-C

Location Address2690 S WHITE RD STE 50San Jose, CA 95148-2075

Mailing Address2690 S White Rd Ste 50San Jose, CA 95148-2075 · (408) 223-7000 · Fax (408) 223-7001

Phone(408) 223-7000

Sole ProprietorNo

Enumeration DateNovember 19, 2020

Last NPPES UpdateApril 21, 20213 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1043813132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OR · PA202376

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2690 S WHITE RD STE 50, San Jose, CA 95148

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Secondary Practice Location 1

Location 1925 Commercial St SE Ste 320Salem, OR 97302-4173 · Phone (503) 399-8105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alex Pham Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

21 suppliers50 claims139 services$5.83 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

22 suppliers42 claims68 services$1.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers73 claims73 services$185.17 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANJALI JAIN M.D.

Pediatrics (Pediatric Endocrinology)